Kodi dokotala wanu adalamula kuti muyesedwe CMP? Tiyeni tikambirane izi mwachidule (Comprehensive Metabolic Panel)

Pamene munapita kukaonana ndi dokotala, dokotalayo anakuyesani magazi, sichoncho? Pamene munayang'ana pepalalo, kodi munawona zilembo zitatu zolembedwa kuti "CMP". Pamene munaona zimenezo, mwina munaganiza kuti, "Kodi CMP iyi ikutanthauza chiyani? Imayang'ana chiyani?" Musaope. Anthu ambiri amaganiza choncho. CMP ndi mayeso ofala kwambiri, koma ofunika kwambiri a magazi omwe madokotala nthawi zambiri amalemba, omwe amapereka chithunzi chabwino cha thanzi lonse la thupi lanu. Zili ngati lipoti la magwiridwe antchito a injini mkati mwa thupi lanu. Lero, tikambirana za chilichonse m'njira yosavuta kwambiri.

Mwachidule, kodi mayeso a CMP awa ndi otani?

Dzina lonse la CMP ndi Comprehensive Metabolic Panel . Iyi ndi mayeso omwe amayesa zambiri zokhudza zinthu 14 zosiyanasiyana m'thupi lanu kuchokera ku chitsanzo chimodzi cha magazi. Izi zikuphatikizapo zinthu monga mapuloteni, ma electrolyte, ndi ma enzyme.

Tangoganizani kuti thupi lanu lili ngati fakitale yayikulu. Fakitale iyi ili ndi magawo osiyanasiyana. Mwachitsanzo, chiwindi ndi impso. Tiyenera kuwona ngati gawo lililonse likugwira ntchito bwino, ngati zinthu zofunikira zikulandiridwa bwino, komanso ngati zinyalala zikuchotsedwa bwino. Mwanjira imeneyi, mayeso a CMP amapereka chithunzithunzi chachidule cha njira zingapo zofunika m'thupi lanu.

Mayeso awa angakuthandizeni kudziwa zinthu zotsatirazi:

• Kodi chiwindi ndi impso zanu zikugwira ntchito bwanji?
• Mulingo wa shuga m'magazi mwanu.
• Kulinganiza kwa Madzi ndi Electrolyte m'thupi.
• Ngati mukulandira chithandizo cha matenda enaake, izi zingakuthandizeninso kuona momwe thupi lanu limayankhira matendawo .

Kodi ndi zinthu 14 ziti zomwe mayeso a CMP amayesa?

Tiyeni tigawane zinthu 14 zomwe tidzayang'ana mu mayesowa m'zigawo kuti muzitha kuzikumbukira mosavuta.

Tsopano tiyeni tiwone chilichonse mwa izi mwatsatanetsatane.

Kodi pali vuto la chiwindi?

Chiwindi ndi chiwalo chofunikira kwambiri m'thupi lathu. Chili ngati labotale. Kuyesaku kumayang'ana zinthu zotsatirazi zokhudza chiwindi:

• Ma Enzyme a Chiwindi (ALT, AST, ALP): Awa ndi ma enzyme omwe amapezeka mkati mwa maselo a chiwindi. Chiwindi chikawonongeka, chadwala, kapena chatupa, ma enzyme amenewa amatulutsidwa m'magazi. Kuchuluka kwawo m'magazi kumawonjezeka.
• Bilirubin: Maselo athu ofiira amafa pakapita nthawi. Ichi ndi chinyalala chachikasu chomwe chimapangidwa chikawonongeka. Chimachotsedwa m'thupi ndi chiwindi. Ngati chiwindi sichikugwira ntchito bwino, bilirubin iyi imatha kusonkhana m'magazi ndikupangitsa thupi kukhala lachikasu (jaundice).
• Albumin ndi Mapuloteni Onse: Albumin ndiye puloteni yayikulu yopangidwa ndi chiwindi. Imathandiza kusunga madzi m'magazi ndi kunyamula zinthu zofunika m'thupi lonse. Kuchepa kwa izi kungasonyeze vuto la chiwindi kapena zakudya.

Nkhani yokhudza impso

Impso ndi 'njira yosefera' m'thupi lathu. Zimasefa zinyalala zosafunikira kuchokera m'magazi ndi kuzitulutsa ngati mkodzo.

• BUN (Blood Urea Nayitrogeni): Urea Nayitrogeni ndi zinthu zotayira zomwe zimapangidwa titamaliza kugaya mapuloteni tikamadya. Imafunika kusefedwa ndi impso. Kuchuluka kwa BUN m'magazi kungasonyeze kuti pali kufooka kwina mu njira yosefera impso.
• Creatinine: Izi zimapangidwa minofu yathu ikamagwira ntchito. Izi ndi zinthu zotayira zomwe zimafunika kusefedwa ndi impso. Kuwonjezeka kwa creatinine ndi chizindikiro chofunikira cha momwe impso zimagwirira ntchito.

Kufunika kwa ma electrolyte

Ma electrolyte ndi mchere wofunikira womwe umafunikira kuti mitsempha ndi minofu ya thupi lathu igwire ntchito bwino, kusunga madzi m'thupi, komanso kuwongolera acid-base balance (pH) m'magazi.

• Sodium: Timaipeza makamaka kuchokera ku mchere womwe timadya. Izi ndizofunikira kwambiri poletsa kuchuluka kwa madzi m'thupi.
• Potaziyamu:Ndi yofunika kwambiri pa ntchito ya mtima ndi minofu. Ili ndi zinthu zambiri monga nthochi ndi malalanje.
• Chloride: Imagwira ntchito ndi sodium kuti ithandize kusunga madzi m'thupi.
• Bicarbonate: Izi zimatipatsa lingaliro la kuchuluka kwa asidi m'magazi athu.

Zinthu zina ziwiri zofunika

• Shuga: Uwu ndi shuga m'magazi mwathu. Monga mafuta m'galimoto, shuga imapereka mphamvu ku thupi lathu ndi ubongo. Kuchuluka kwa shuga m'magazi kungakhale chizindikiro cha matenda a shuga.
• Calcium: Calcium ndi yofunika osati kokha pa mafupa ndi mano, komanso pakugwira bwino ntchito kwa mitsempha, minofu, ndi mtima.

N’chifukwa chiyani dokotala angakuuzeni kuti muyesedwe ndi CMP?

Pakhoza kukhala zifukwa zingapo zomwe dokotala angalamule mayesowa.

1. Kuzindikira Matenda: Ngati muli ndi zizindikiro zilizonse (monga kutopa kwambiri, chikasu, kupweteka m'mimba, kutupa kwa miyendo), mayesowa angathandize kupeza chomwe chikuyambitsa.

2. Monga kuyezetsa thanzi lonse (Kuyezetsa): Izi zimachitika ngati gawo la kuyezetsa thanzi pachaka, ngakhale palibe zizindikiro. Mwanjira imeneyi, ngati pali vuto, limatha kuzindikirika msanga.

3. Kuyang'anira matenda: Ngati muli kale ndi matenda a shuga, kuthamanga kwa magazi, matenda a chiwindi kapena impso, mayesowa amachitika kuti aone ngati vutoli likutha komanso ngati chithandizocho chayenda bwino.

4. Kuyang'ana zotsatira zoyipa za mankhwala: Mankhwala ena (monga mankhwala ochepetsa cholesterol, ena ochepetsa ululu) amatha kukhudza chiwindi kapena impso. Chifukwa chake, poyambitsa mankhwala otere, mayesowa amachitidwanso kuti awone momwe amakhudzira thupi.

Kodi mumakonzekera bwanji mayesowa?

Nthawi zambiri, dokotala wanu amakupemphani kuti musale kudya kwa maola 10-12 musanayambe mayesowa. Izi zikutanthauza kuti simuyenera kudya kapena kumwa chilichonse kupatula madzi. Izi ndizofunikira kwambiri kuti muyeze molondola kuchuluka kwa shuga m'magazi mwanu.

Chinthu chabwino kwambiri choti muchite ndikukonzekera nthawi yoyezetsa magazi anu m'mawa. Mwanjira imeneyi, mutha kudya chakudya chamadzulo, kusala kudya mpaka m'mawa, ndikudya nthawi yomweyo mutatha kuyezetsa magazi. Komabe, tsatirani malangizo a dokotala wanu molondola. Nthawi zina, simungafunike kusala kudya.

Kodi chimachitika n’chiyani mukapereka magazi?

Izi ndi zosavuta kwambiri ndipo zitha kumalizidwa mkati mwa mphindi 5-10.

• Munthu amene ali mu labu (phlebotomist) adzapeza mtsempha wabwino mkati mwa mkono wanu, pansi pa chigongono chanu.
• Tsukani malo amenewo ndi kachidutswa kakang'ono ka mowa.
• Kenako, singano yaying'ono imalowetsedwa mumtsempha ndipo magazi ofunikira amasonkhanitsidwa mu chubu. Panthawiyi , mkodzo umakhala wopweteka pang'ono, ngati kulumidwa ndi nyerere.Mungathe kuzimva.
• Magazi akatengedwa, singano imachotsedwa ndipo chidutswa cha thonje chimayikidwa pamalopo ndikuchikanikiza pansi.
• Kenako chidutswa chaching'ono cha pulasitala chimayikidwa. Ndicho chokha.

Palibe chiopsezo chachikulu ndi izi. Mutha kumva kuvulala pang'ono pomwe magazi adatengedwa. Izi zidzachira zokha patatha masiku ochepa.

Kodi lipotilo mwalimvetsa bwanji likafika?

Nthawi zambiri mumatha kupeza lipotilo patatha tsiku limodzi kapena awiri. Mukayang'ana lipotilo, muwona manambala ambiri ndi mawu achilendo. Musachite mantha ndi zimenezo. Kawirikawiri, lipotilo limakhala ndi izi:

• Dzina la mayeso: Mwachitsanzo, Shuga, BUN, ALT.
• Zotsatira Zanu: Mayesowa akuwonetsa nambala yomwe ikuwonetsa kuchuluka kwa chinthu chomwe chili m'magazi anu.
• Gawo loyezera: Gawo monga mg/dL latchulidwa.
• Mlingo Wabwinobwino / Mlingo Wofotokozera: Izi zikusonyeza kuchuluka kwa zinthu zomwe munthu wathanzi ayenera kukhala nazo m'magazi mwake. Mlingowu ukhoza kusiyana pang'ono kuchokera ku labu ina kupita ku ina.
• Kulemba chizindikiro: Ngati zotsatira zanu zili kunja kwa mlingo woyenera, zitha kuwonetsedwa ndi mtundu wina (monga wofiira) kapena chilembo (H - Wapamwamba, L - Wotsika).

Kodi chimachitika ndi chiyani ngati zotsatira zake sizili zachilendo?

Ngati mtengo kapena mitengo ingapo ili kunja kwa mulingo wabwinobwino, ikhoza kukhala chizindikiro cha vuto ngati ili:

• Matenda a chiwindi
• Matenda a impso
• Matenda a shuga
• Kuthamanga kwa magazi (BP)

Koma kumbukirani, zotsatira zosazolowereka pa mayeso amodzi sizitanthauza kuti nthawi zonse muli ndi matenda. Zakudya zomwe mumadya, mankhwala omwe mumamwa, kuchuluka kwa masewera olimbitsa thupi omwe mumachita, ndi zina zambiri zingakhudze zotsatira izi.

Ngati dokotala wanu awona zotsatira zachilendo, angafune mayeso ena kuti atsimikizire. Kapena, angakulangizeni kusintha moyo wanu. Chifukwa chake, khalani omasuka kukambirana ndi dokotala wanu mafunso, nkhawa, kapena kukayikira kulikonse komwe muli nako pa lipotilo.